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1. Integrated Home and Community Based Care Project


2. Community Based Nutrition Rehabilitation Project


3. Facility Based HIV Counselling and Testing (HCT)


4. Drug Resistant TB Counselling Project


5. PEPFAR Project


6. Isibani Project


7. Rehabilitation Care Workers Project








OUR PROJECTS

TOUCHING NATIONS

“A decrease in HIV & TB”

NPO 038 - 396  PBO 930017734

Summary:

The World Health Organisation (WHO) defines Home Based Care as ”the provision of health services by formal and informal caregivers in the home in order to promote, restore and maintain a person’s maximum level of comfort, function and health including care towards a dignified death.”


Home and Community Based Care recognises people’s capacity for self-help and involves a comprehensive range of context specific interventions that positively influence environmental and personal factors such as psychosocial abilities, coping abilities, lifestyle issues, behaviour patterns and habits. It is an array of interventions that support the actions people take to maintain health and well-being; prevent illness and accidents; care for minor health problems/ailments and long term conditions; and recovery from periods of acute illness and hospitalisation.


Goals:

The goal of Home and Community Based Care is to prevent unplanned visits to health services through high-quality and appropriate care that helps the user population to maintain their independence and achieve the best possible quality of life.


To promote health and prevent illnesses and disability

To mobilise around community needs

To identify households’ health needs by completing a standard assessment

To provide psychosocial  support to households

To provide education and advice on minor  health problems

To support health promotion programmes in schools and Early Childhood Development centres

To support continuum of care (for example, by signposting people to information about local health and care services and how to access them)




1. Integrated Home and Community Based Care Project

Community Based Nutrition Rehabilitation Project

Summary:

Providing rehabilitation for malnourished or growth faltering children, between 0 – 59 months, who have not shown satisfactory improvement after clinic based interventions (i.e. Nutrition Therapeutic Programme/NTP).


Goals:

1. Regular growth monitoring and promotion in accordance with the Standard Operating Procedures by a trained staff member.

2. Draft care plans for each child to indicate how the targets (especially weight and height) set for the child will be achieved.  

3. Establish linkages with the local clinic for routine services or referral for the treatment of underlying conditions affecting growth and development.

4. Management or referral of children with severe acute malnutrition should be in line with the WHO 10 Steps to the Management of Severe Acute Malnutrition and provincial guidelines.

5. Provide nutrition supplementation.

6. Provide counselling on appropriate infant and young child feeding practices and refer if necessary.

7. Provide nutrition education to the parent/caregiver on the following topics:

Infant & young child feeding

Growth monitoring

Breastfeeding

Weaning practices

Complementary feeding and introduction of solids

Oral rehydration and prompt treatment of diarrhoea

Causes of malnutrition

Nutrition during pregnancy and lactation

Substance abuse

Immunisation

Vitamin A Supplementation Programme

Child feeding practices during illness

Food preparation and purchasing

Meal planning

Good hygiene practices

Structured play and activity in a cheerful stimulating environment encouraging mother’s/caregiver’s involvement as far as possible.

Counsel mothers/caregivers of SAM children in rehabilitation phase or preventative on how to modify family foods, how often to feed and how much to give.

8. Offer skills development opportunities for the parent or caregiver.  

9. Collaboration with/referral to other programmes (CBS programmes such as HCBC, IMCI, ECD, etc. and Social Development programmes) for support.

10. Provide assistance at Health Awareness Days or outreaches, or do outreaches aligned to the Health Calendar and relevant Health Days.





2. Community Based Nutrition Rehabilitation Project

Background:

The need for a generic counsellor who is proficient in counselling HIV and TB clients for other chronic diseases has been identified. There was also a shift in policy which made provision for the non–health care practitioners to conduct finger pricking in order to draw capillary blood for HCT.


Key intervention strategies

HCT service using ACTS/PICT model for new clients seeking HIV testing per day

Adherence and follow up counselling

Paediatric/ adolescent/ adult work up and treatment readiness

Intervention with struggling/ defaulting clients  

Group facilitation for club activities

Health education and information (group based) on HIV/STI/TB and ART related issues in the waiting rooms of the clinics and/or at community

    level

3. Facility Based HIV Counselling and Testing (HCT) Project

Summary:

There is a process to fully implement the integration of HIV & AIDS, STI and TB (Including Drug Resistant TB) services. Counsellors are expected to participate in outreach events and any campaigns as they arise.


Specific tasks involve the following:

Provide individual session (Advise) to consent to test for HIV and screen for TB, STIs and contraception and fertility  planning

Conduct individual or family treatment readiness counselling sessions (identified family treatment partner) on ART before ART treatment

commenced and TB/DR-TB patients within the first 2 weeks of commencing TB treatment.

Facilitate structured treatment readiness group sessions for ARV and TB patients

Provide on-going appropriate, supportive counselling to HIV, ART and TB/DR-TB patients, with appropriate referral to other supportive services e.g.

social worker/psychologist

Do the finger prick to draw capillary blood for HIV Testing

Facilitate chronic clubs for wellness and ART

Detect and report barriers to adherence

Data collection and compilation of monthly report forms as required

Introduce ART and TB patients to CCWs/DR-TB counsellor who do home visits for patients


4. Drug Resistant TB Counselling Project

 Project

Summary:

The goal of the Program is to improve the basic economic and social conditions of the community. Each community must contribute some amount of money, labor or other services to the project.

5. PEPFAR Project

 Project

Summary:

This project focus on a Capacity Building program providing HIV/AIDS and TB, Cardiovascular diseases, Diabetes and Cancer services.


Objectives:

To advocate and lobby through various Advocacy, Communication and Social Mobilization (ACSM) activities for the awareness and education on TB.


To enhance treatment adherence through community-based support in hard to reach areas.


To intensify case findings by conducting TB screening at outreaches, homes etc.


To identify and trace defaulters; including MDR –TB.


6. Isibani Project

7. Rehabilitation Care Workers Project


 

Summary:

There is a process to fully implement the integration of HIV & AIDS, STI and TB (Including Drug Resistant TB) services. Counsellors are expected to participate in outreach events and any campaigns as they arise.


Specific tasks involve the following:

Provide individual session (Advise) to consent to test for HIV and screen for TB, STIs and contraception and fertility  planning

Conduct individual or family treatment readiness counselling sessions (identified family treatment partner) on ART before ART treatment

commenced and TB/DR-TB patients within the first 2 weeks of commencing TB treatment.

Facilitate structured treatment readiness group sessions for ARV and TB patients

Provide on-going appropriate, supportive counselling to HIV, ART and TB/DR-TB patients, with appropriate referral to other supportive services e.g.

social worker/psychologist

Do the finger prick to draw capillary blood for HIV Testing

Facilitate chronic clubs for wellness and ART

Detect and report barriers to adherence

Data collection and compilation of monthly report forms as required

Introduce ART and TB patients to CCWs/DR-TB counsellor who do home visits for patients